Marc Bacon is a Nutrition Support in Sudbury, Massachusetts. Marc Bacon practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Marc Bacon is 1730307166. The last update date is 2012-10-12.
Marc Bacon's current location address is 10 Brookdale Ln, Sudbury, Massachusetts. You can contact this provider via phone number 9784434495. The mailing address for Marc Bacon is 10 Brookdale Ln, Sudbury, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Bacon |
|---|---|
| Address | 10 Brookdale Ln, Sudbury, Massachusetts |
| Phone Number | 9784434495 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1730307166 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2012-10-12 |
Provider Mailing Address Detail
| Address | 10 Brookdale Ln |
|---|---|
| City | Sudbury |
| State | Massachusetts (MA) |
| Post Code | 17763437 |
| Phone Number | 9784434495 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | 21311 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
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What is the Marc Bacon's unique identification number?
The Marc Bacon has been assigned the NPI (National Provider Identifier) Number 1730307166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Marc Bacon is located?
The Marc Bacon is situated at the following address: 10 Brookdale Ln, Sudbury, MA, 17763437.
What is Marc Bacon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marc Bacon's area of specialization is Nutrition Support, and the corresponding taxonomy code that categorizes this field of practice is 1835N1003X.
When did the Marc Bacon receive its 1730307166?
The Marc Bacon was issued its 1730307166 on 2007-04-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Marc Bacon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marc Bacon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-12.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH